{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T22:07:30Z","timestamp":1649196450615},"reference-count":38,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n                    Hintergrund\/Ziel Die septische Tenosynovialitis der Beugesehnenscheiden erfordert eine dringliche Behandlung, um Sehnennekrosen und den Verlust von Fingern zu verhindern. Gegenstand des vorliegenden Artikels ist die Behandlung durch Revision und postoperativ kontinuierliche Sp\u00fclung \u00fcber eine geschlossene Sp\u00fcl-Saug-Drainage.<\/jats:p><jats:p>\n                    Patienten und Methoden Vom 1.1.2007 bis zum 31.12.2016 wurden 54 Patienten mit septischer Tenosynovialitis einer Beugesehnenscheide mit einer Sp\u00fcl-Saug-Drainage behandelt. Zus\u00e4tzlich zur Auswertung der Krankenakten (betroffener Finger, betroffene Hand, Dauer des station\u00e4ren Aufenthaltes, notwendige Revisionsoperationen) konnten 33 Patienten (19 M\u00e4nner und 14 Frauen) mit einem Durchschnittsalter von 51 (8\u201385) Jahren nach durchschnittlich 21 (4\u201338) Monaten nachuntersucht werden. Dabei wurden die Beweglichkeit des betroffenen Fingers\/Daumens (Abstand der Fingerkuppe zur distalen Hohlhandbeugefurche beim Faustschluss, resp. der Kapandji-Index), die Grobkraft\/Spitzgriffkraft prozentual zur unverletzten Gegenseite, die Schmerzen mittels numerischer Ratingskala (NRS) und der DASH-Score erfasst. Das Gesamtergebnis wurde mittels des Bewertungsschemas von Buck-Gramcko f\u00fcr Beugesehnenrekonstruktionen beurteilt.<\/jats:p><jats:p>\n                    Ergebnisse Der Krankenhausaufenthalt dauerte im Durchschnitt 9 (3\u201326) Tage. Elfmal war eine Revision erforderlich, 3-mal davon eine Neuanlage der Sp\u00fcl-Saug-Drainage, 2-mal eine Strahlresektion und einmal eine Amputation in H\u00f6he des Mittelgelenkes. Die nachuntersuchten Patienten wiesen im Mittel eine Grobkraft von 84 (23\u2013163) % der nicht betroffenen Gegenseite auf. Der Ruheschmerz betrug durchschnittlich 0,2 (0\u20134), der Belastungsschmerz 1,2 (0\u20138) auf der NRS, der DASH-Score 16,8 (0\u201358) Punkte. Nach dem Bewertungssystem f\u00fcr Beugesehnenfunktionen war ein Ergebnis unbefriedigend, eines befriedigend, 5 gut und 26 sehr gut.<\/jats:p><jats:p>\n                    Schlussfolgerungen Die kontinuierliche Sp\u00fclung \u00fcber eine Sp\u00fcl-Saug-Drainage bei der septischen Tenosynovialitis der Beugesehnenscheiden ist ein erfolgreiches Verfahren mit niedriger Amputationsrate. Die funktionellen Ergebnisse sind \u00fcberwiegend gut und sehr gut.<\/jats:p>","DOI":"10.1055\/a-1408-4147","type":"journal-article","created":{"date-parts":[[2021,6,16]],"date-time":"2021-06-16T22:34:27Z","timestamp":1623882867000},"page":"276-281","source":"Crossref","is-referenced-by-count":1,"title":["Die Sp\u00fcl-Saug-Drainage zur Therapie der septischen Tenosynovialitis der Fingerbeugesehnen"],"prefix":"10.1055","volume":"53","author":[{"given":"Thomas","family":"Pillukat","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Handchirurgie Bad Neustadt an der Saale"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Rahimli","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Handchirurgie Bad Neustadt an der Saale"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Windolf","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall- und Handchirurgie, Universit\u00e4tsklinikum D\u00fcsseldorf"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f6rg","family":"van Schoonhoven","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Handchirurgie Bad Neustadt an der Saale"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,6,16]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"184","DOI":"10.1007\/s00064-011-0023-0","article-title":"Die Sp\u00fcl-Saug-Drainage zur Behandlung von Infektionen der Beugesehnenscheide an der Hand","volume":"23","author":"T Pillukat","year":"2011","journal-title":"Oper Orthop Traumatol"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"256","DOI":"10.1055\/s-0029-1239520","article-title":"Die Beugesehnenscheideninfektion: Eine \u00dcbersicht","volume":"41","author":"M F Langer","year":"2009","journal-title":"Handchir Mikrochir Plast Chir"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1055\/s-0037-1606625","article-title":"Rethinking pyogenic flexor tenosynovitis: Biofilm formation treated in a cadaveric model","volume":"9","author":"C Ketonis","year":"2017","journal-title":"J Hand Microsurg"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1302\/0301-620X.78B5.0780793","article-title":"Tissue pressures in pyogenic flexor tenosynovitis of the finger. Compartment syndrome and its management","volume":"78","author":"S B Schnall","year":"1996","journal-title":"J Bone Joint Surg Br"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"272","DOI":"10.1177\/2292550317731765","article-title":"Cases of early infectious flexor tenosynovitis treated non-surgically with antibiotics, immobilization, and elevation","volume":"25","author":"A M DiPasquale","year":"2017","journal-title":"Plast Surg (Oakv)"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1080\/2000656X.2019.1657434","article-title":"Conservative treatment for pyogenic flexor tenosynovitis: a single institution experience","volume":"54","author":"T Rutenberg","year":"2019","journal-title":"J Plast Surg Hand Surg"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"981","DOI":"10.1016\/j.jhsa.2019.04.011","article-title":"Pyogenic flexor tenosynovitis: Evaluation and treatment strategies","volume":"44","author":"T Chapman","year":"2019","journal-title":"J Hand Surg Am"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"323","DOI":"10.1016\/j.hcl.2020.03.005","article-title":"Pyogenic flexor tenosynovitis: Evaluation and management","volume":"36","author":"K Goyal","year":"2020","journal-title":"Hand Clin"},{"key":"ref9","first-page":"59","volume-title":"The treatment of acute suppurative tenosynovitis \u2013 discussion of technique","author":"A Kanavel","year":"1925","edition":"5th ed."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1142\/S0218810412720082","article-title":"Extensive open drainage for suppurative flexor tenosynovitis involving five digits: a case report","volume":"17","author":"T L Foo","year":"2012","journal-title":"Hand Surg"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1007\/s00402-016-2587-5","article-title":"Treatment of digital pyogenic flexor tenosynovitis: single open debridement, irrigation, and primary 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Medicine"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1302\/0301-620X.30B3.409","article-title":"Infections of the hand","volume":"30B","author":"J B Loudon","year":"1948","journal-title":"J Bone Joint Surg Am"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"462","DOI":"10.1016\/s0363-5023(78)80141-5","article-title":"Closed tendon sheath irrigation for pyogenic flexor tenosynovitis","volume":"3","author":"R J Neviaser","year":"1978","journal-title":"J Hand Surg Am"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"328","DOI":"10.1054\/jhsb.1998.0009","article-title":"Closed continuous irrigation in the treatment of hand infections","volume":"24","author":"P A Harris","year":"1999","journal-title":"J Hand Surg Br"},{"key":"ref18","first-page":"396","article-title":"Facilitating difficult catheter passage","volume":"22","author":"D H Rosenbaum","year":"1993","journal-title":"Orthop 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flexor tenosynovitis","volume":"9","author":"S R Chung","year":"2014","journal-title":"Hand (N Y)"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"321","DOI":"10.1177\/1753193414522961","article-title":"Simplifying irrigation in flexor tenosynovitis","volume":"40","author":"S S Jing","year":"2014","journal-title":"J Hand Surg Eur Vol"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"277","DOI":"10.1055\/s-0029-1238282.","article-title":"Schwere Nebenwirkungen nach Octenisept \u2013 Sp\u00fclung von Perforationswunden im Kindesalter","volume":"41","author":"W H\u00fclsemann","year":"2009","journal-title":"Handchir Mikrochir Plast Chir"},{"key":"ref25","first-page":"532","article-title":"Local penicillin treatment of suppurative infection in the tendon sheath","volume":"95","author":"E Unonius","year":"1947","journal-title":"Acta Chir Scand"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"645","DOI":"10.1097\/00000658-196604000-00021.","article-title":"Treatment of digital tenosynovitis by irrigation with peroxide and oxytetracycline: review of nine cases","volume":"163","author":"S J Carter","year":"1966","journal-title":"Ann Surg"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"182","DOI":"10.1097\/BTH.0b013e3181bef5a3","article-title":"Use of continuous marcaine irrigation in the management of suppurative flexor tenosynovitis","volume":"13","author":"R G Gaston","year":"2009","journal-title":"Tech Hand Up Extrem Surg"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1097\/BTH.0000000000000164","article-title":"Closed continuous irrigation with lidocaine and immediate mobilization for treatment of pyogenic tenosynovitis","volume":"21","author":"R Knackstedt","year":"2017","journal-title":"Tech Hand Up Extrem Surg"},{"key":"ref29","first-page":"65","article-title":"Bewertungskriterien bei Nachuntersuchungen von Beugesehnenwiederherstellungen","volume":"8","author":"D Buck-Gramcko","year":"1976","journal-title":"Handchirurgie"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"2208","DOI":"10.1016\/j.jhsa.2013.08.094","article-title":"The diagnostic accuracy of inflammatory blood markers for purulent flexor tenosynovitis","volume":"38","author":"G B Bishop","year":"2013","journal-title":"J Hand Surg Am"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1007\/s15010-018-1236-z","article-title":"Current opinions regarding the management of pyogenic flexor tenosynovitis: a survey of Pulvertaft Hand Trauma Symposium attendees","volume":"47","author":"L E Bolton","year":"2018","journal-title":"Infection"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"783","DOI":"10.1016\/0266-7681(93)90246-c","article-title":"Closed continuous irrigation as a 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